| Popis: |
Background: Universal access to family planning could prevent nearly one third of the estimated 300,000 maternal deaths that occur every year. Forced sex, risk-taking behaviors and exposure to high-risk situations increased among refugees. Contraceptive services have lagged behind other sexual and reproductive health services in humanitarian settings. Currently, there is a dearth of information on the use of contraceptive among refugee women in many low-income settings. Methodology: A community based cross sectional study triangulated with qualitative data was employed from January 1 to February 1, 2017. Systematic and purposive sampling techniques were used for the quantitative and qualitative respectively. Data were collected through face to face interview for quantitative and guiding questions for the qualitative. Data was entered to Epi Info version 3.3.2 and transported to SPSS version 20.0 for analysis. Significance was declare at p-value of Result Among the 532 respondents who experienced sex, 192(36.1%) of them were using contraceptive method. Respondents who had Radio/TV (AOR=2.207, 95% CI=1.244, 3.917), lived in urban areas (AOR=2.593, 95% CI=1.513, 4.444), had discussion with partner on reproductive goal (AOR=2.817, 95% CI=1.681, 4.721) and longer duration in camp (AOR=.4.065, 95% CI=1.845, 8.956, AOR=2.200, 95% CI=1.084, 4.466) were significant factors. Limited availability of certain contraceptives, religion, misconception, side effects and community stigma was some of reported reasons for non-use of contraceptives by focus group discussion and in-depth interview participants. Conclusion Contraceptive utilization in refugees was unacceptable when compared to the global and national initiatives aspired to achieve. A lot of hindering factors to access the service were identified in this study. This situation will intensify the existed maternal and child mortality dire in developing countries particularly in refugee settings. |
